13614-C

Intake/Interview and Quality Review Sheet (Bengali Version)

Agency
IRS
Revision
Rev. 10-2025
Fillable fields
297
Pages
6
Official source
IRS form page
Checked
October 21, 2026
Fill 13614-C online
Page 1 of form 13614-C

Form 13614-C (bn) in Bengali: Intake/Interview and Quality Review Sheet

Form 13614-C (bn) is the Bengali version of Form 13614-C, Intake/Interview and Quality Review Sheet. The IRS PDF is written in Bengali for taxpayers who read Bengali and get help at a Volunteer Income Tax Assistance (VITA) or Tax Counseling for the Elderly (TCE) site. The English edition is Form 13614-C. This page describes the Bengali edition in English.

This edition is dated October 2025 and its questions ask about 2025. It tells the taxpayer to complete pages 1 to 5 and to bring tax information such as Forms W-2, 1099, 1098 and 1095, Social Security cards or ITIN letters for everyone on the return, and photo ID such as a valid driver's license for the taxpayer and spouse. Columns marked for the certified volunteer are filled in by the IRS-certified volunteer preparer. The PDF ends with Form 15080 (bn), a consent to disclose tax return information to VITA/TCE sites.

The PDF can be filled out free in the browser on this page and downloaded without an account.

Top of page 1 of Form 13614-C (bn) in Bengali: Intake/Interview and Quality Review Sheet, as printed by IRS

What's on Form 13614-C (bn)

Page 1: taxpayer and household

Names, dates of birth, job titles, address, phones and optional email; whether the taxpayer lived or worked in two or more states in 2025; status checks such as U.S. citizen, on a visa, legally blind, IP PIN and digital assets; marital status as of December 31, 2025; and the household table.

Page 1: refund and payment choices

A refund by direct deposit, check by mail or split between accounts; a payment by bank account, direct payment on IRS.gov, an installment agreement or mailing it to the IRS. It also asks about IRS letters in another language and the $3 Presidential Election Campaign Fund.

Page 2: income

Checkboxes for money received in 2025: wages, tips, retirement and disability payments, Social Security, unemployment, state or local refunds, interest and dividends, sales of stocks, bonds or real estate, alimony, rentals, gambling, and contract or self-employment work.

Page 3: expenses and tax events

Mortgage interest, taxes, medical costs and charitable gifts; student loan interest, child care, retirement contributions, educator supplies and alimony paid; and events such as classes, a home sale, an HSA, Marketplace insurance, energy-efficient home items, cancelled debt and IRS letters.

Page 4: optional information and privacy notice

Statistical questions on English ability, disability, veteran status and race or ethnicity. The form says these answers are not part of the return, are not sent to the IRS with it and are not required. The Privacy Act and Paperwork Reduction Act notice follows.

Page 5 and Form 15080 (bn)

Page 5 is for additional notes or comments. Form 15080 (bn) asks for consent to Global Carry Forward of return data through TaxSlayer LLC.

How to fill out Form 13614-C (bn)

  1. 1

    Gather documents

    The form lists tax information such as Forms W-2, 1099, 1098 and 1095, Social Security cards or ITIN letters for all persons on the return, and photo ID for the taxpayer and spouse.

  2. 2

    Complete page 1

    Enter the taxpayer's and spouse's details, answer the status questions, choose a refund or payment method and give marital status as of December 31, 2025.

  3. 3

    List household members

    For each person, give the name, date of birth, relationship, months lived in the home in 2025 and single or married status as of 12/31/2025, with yes or no answers in the citizenship, residency, student, disability and IP PIN columns.

  4. 4

    Pages 2 and 3

    The form says to answer the questions on the left side of each page and check only the boxes that apply to the taxpayer or spouse. The volunteer columns are for the certified volunteer.

  5. 5

    Page 4 and page 5

    Page 4 is optional. Page 5 holds any additional notes or comments.

  6. 6

    Review with the volunteer

    The form says the taxpayer is responsible for the information on the return and asks for complete and accurate answers. It says to ask the IRS-certified volunteer preparer any questions.

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Where it goes, consent and contacts

Where it goes

The sheet is used with the IRS-certified volunteer preparer at the VITA or TCE site. The form prints no IRS mailing address for it.

Voluntary

The form says giving the information is voluntary, but without it the IRS volunteers may not be able to help prepare and file the return.

Global Carry Forward consent

Form 15080 (bn) says completing it is not required to use the tax preparation services, and that the consent is valid until November 30, 2027.

Report unethical behavior

The form says to report unethical behavior to the IRS by email at [email protected].

Misuse of return information

Form 15080 (bn) gives 1-800-366-4484 for the Treasury Inspector General for Tax Administration (TIGTA) if return information was disclosed or used without authorization.

Who fills out Form 13614-C (bn)?

  • Taxpayers getting VITA or TCE help

    The privacy notice says the information is requested so the taxpayer can take part in the VITA and TCE programs, which provide IRS-certified volunteers to help qualified individuals prepare basic income tax returns.

  • Spouses

    The sheet has spouse fields for name, date of birth, job title and phone number, and You or Spouse boxes on the status questions.

  • IRS-certified volunteer preparers

    Columns marked to be completed by the certified volunteer record answers about each household member, the income to include and the expenses to report.

  • Household members and dependents

    Page 1 lists everyone who lived with the taxpayer last year, other than the spouse, and anyone the taxpayer supported who did not live with them.

  • Who else may see it

    The privacy notice says the information may be disclosed to others who coordinate VITA/TCE staffing, outreach and related activities, and return information only as 26 U.S.C. section 6103 provides.

The taxpayer answers the questions, and the IRS-certified volunteer preparer at the VITA or TCE site completes the columns marked for the volunteer.

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Questions about Form 13614-C

What language is Form 13614-C (bn) in?

Bengali. It is the IRS Bengali edition of Form 13614-C, Intake/Interview and Quality Review Sheet, dated October 2025. The English edition is Form 13614-C.

Which pages does the taxpayer complete?

The form says to complete pages 1 to 5. Columns marked for the certified volunteer are filled in by the IRS-certified volunteer preparer.

Is page 4 required?

No. The form says the page 4 questions are for statistical purposes only, are not part of the return, are not sent to the IRS with it, and do not have to be answered.

Which year does this edition ask about?

The October 2025 edition asks about 2025, including marital status as of December 31, 2025 and months lived in the home in 2025.

What is Form 15080 (bn) at the end of the PDF?

A consent that lets TaxSlayer LLC make the return data available to another VITA/TCE site next filing season. The form says it is not required and is valid until November 30, 2027.

Can the taxpayer ask for IRS letters in another language?

Page 1 asks whether the taxpayer or spouse would like written communications from the IRS in a language other than English, and which language.